Most Relevant Information
Provider Data
| NPI Number: | 1003684895 |
| Provider Name: | ROXANA CARRALERO |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 110242260 |
Most Important Dates
| Enumeration Date: | 12/12/2023 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
9247 SW 39TH ST
MIAMI
FL
331654147
Practice Location Phone/Fax
| Phone: | 3059224035 |
| Fax: |
Provider Mailing Location
9247 SW 39TH ST
MIAMI
FL
331654147
Provider Mailing Phone/Fax
| Phone: | 3059224035 |
| Fax: |